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フルテキストURLフルテキストリンクなし
タイトル胆嚢癌治癒切除症例の検討
タイトルヨミタンノウ ガン チユ セツジョ ショウレイ ノ ケントウ
タイトル別表記Results of curative operations for carcinoma of the gallbladder
作成者榎, 忠彦
守田, 信義
平岡, 博
松井, 則親
衛藤, 泉
野島, 真治
小林, 哲朗
江里, 健輔
作成者ヨミエノキ, タダヒコ
モリタ, ノブヨシ
ヒラオカ, ヒロシ
マツイ, ノリチカ
エトウ, イズミ
ノシマ, シンジ
コバヤシ, テツロウ
エサト, ケンスケ
作成者別表記Enoki, Tadahiko
Morita, Yoshinobu
Hiraoka, Hiroshi
Matsui, Norichika
Etoh, Izumi
Noshima, Shinji
Kobayashi, Tetsurou
Esato, Kensuke
作成者所属山口大学医学部
内容記述(抄録等)Forty-two patients with carcinoma of the gallbladder under went surgical operations betweem January, 1975 and December, 1987. Among them 20 patients were curative except for three patients who died after surgery. The purpose of the this paper is to investigate relationship between the prognosis and the classification in clinical stage and relationship between the depth of the tumor and the operative modes. The survival rate was calculated by the Kaplan-Meier method. The 1-, 3-, and 5-year survival rates were 89.7%, 62.7% and 41.8%, respectively. The 5- year survival rate was 100% when limited to the mucosal layer, 75% when limited to the proper muscle layer, 0% in the subserosal layer and 26% in the serosal layer. The patients with tumor invasion which is limited to the either the mucosal layer or the proper muscle layer had relatively good prognosis. On the other hand, the prognosis of the patients with tumor invasion to either the subserosal or the serosal layer was poor. However, one patientm who had a simple cholecystectomy, died of a recurrence of carcinoma. Presently, it is considered that an extended cholecystectomy should be performed in patients with tumor invasion to the mucosal layer or the proper muscle layer. In addition, so called advanced carcinoma of the invades the hepatoduodenal ligament, and in that case a pancreatoduodenectomy should be performed for such patients.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
39
2
開始ページ235
終了ページ239
発行日1990-04
著者版/出版社版その他
リポジトリIDB030039000212
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030039000212